HB1108
View on ILGADHFS-LIVE-IN CAREGIVER WAIVER
What this bill does
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, in accordance with federal guidance issued by the federal Centers for Medicare and Medicaid Services, the Department of Healthcare and Family Services shall exempt from electronic visit verification requirements all live-in caregivers who provide Medicaid-funded personal care services or home health care services under the Illinois Title XIX State Plan or a waiver of the plan, including personal care services and home health care services provided under various home and community-based services waiver programs authorized under the Social Security Act. Defines "live-in caregiver". Grants the Department rulemaking authority. Effective immediately.
Stuck
P(Advance)
Chance it ever
reaches a milestone (committee, floor, etc.). Not “next step.”
P(Law)
Chance it becomes
law given where it is now (stage, momentum).
Forecast
Low
P(law) at intro —
sponsor & topic only; no progress or delay.
Confidence: 53%
Calculating prediction drivers...
Pipeline Progress
Current stage: Crossed Chambers · Last action 549 days ago
How does a bill become law in Illinois?
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Introduction of Bill
A member of the Senate or the House introduces a bill, which is assigned a unique identifying number (e.g., "H.B. ___" for House bills and "S.B. ___" for Senate bills). If not enacted, it must be reintroduced in the next General Assembly with a new number.
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Committee Work — Hearings
The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.
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Committee Work — Markup, Amendments, Report
The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.
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Floor Debate
The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.
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Passage and Consideration in Second Chamber
If the bill passes in the first chamber, it moves to the second chamber for a similar review process. If both chambers approve, it goes to the governor.
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Gubernatorial Action
The governor can sign the bill into law, veto it, or take no action (resulting in an automatic law after 60 days). The type of veto can be total or amendatory. Once signed, the bill becomes a Public Act and is assigned a Public Act number.
Sponsor Context
Campaign finance
This is SBE campaign receipts to the people on this bill, not Moneyball and not earmarked to the bill.
Money is campaign receipts to matched candidate committees, not earmarked to this bill. Window 2025-01-01 – 2026-09-13.
$1,176,038.59
Across sponsors / voters
3
Members with trails
25
Overlapping donors
Sponsor and voter funding
| Member | Role | Receipts | Total received | Top donors |
|---|---|---|---|---|
| Charles Meier | Chief sponsor | 230 | $349,283.37 | House Republican Organization ($115,388.50); Illinois Political Action Committee for Education ($40,000.00); Illinois Farm Bureau ACTIVATOR ($20,143.05) |
| Suzanne M. Ness | Sponsor | 143 | $207,288.44 | Liuna Chicago Laborers' District Council Political Action Committee ($75,800.00); NextEra Energy Resources Development LLC ($29,833.00); I.P.A.C.E. ($17,500.00) |
| Sue Rezin | Sponsor | 360 | $619,466.78 | The First National Bank of Ottawa ($65,324.89); I.P.A.C.E. ($50,000.00); Busey Bank ($43,117.52) |
Overlapping donors
Donors who gave to more than one sponsor or voter on this bill. Still not earmarked to the bill.
| Donor | Members | Total |
|---|---|---|
| I.P.A.C.E. | Sue Rezin, Suzanne M. Ness | $67,500.00 |
| Chicago Land Operators Joint Labor Management PAC | Sue Rezin, Suzanne M. Ness | $18,000.00 |
| Realtor Political Action Committee | Charles Meier, Suzanne M. Ness | $16,500.00 |
| Ameren Illinois PAC | Sue Rezin, Charles Meier | $11,500.00 |
| Manufacturers Political Action Committee | Sue Rezin, Charles Meier | $10,000.00 |
| J&J Ventures Gaming LLC | Sue Rezin, Charles Meier | $8,000.00 |
| Sports Betting Alliance | Sue Rezin, Charles Meier | $7,500.00 |
| Illinois State Medical Society PAC | Sue Rezin, Charles Meier, Suzanne M. Ness | $7,000.00 |
| Ameren Illinois | Sue Rezin, Charles Meier | $6,870.27 |
| Associated Beer Distributors of IL PAC | Sue Rezin, Charles Meier | $6,500.00 |
| Accel Entertainment Gaming, LLC | Sue Rezin, Charles Meier, Suzanne M. Ness | $6,000.00 |
| John Deere PAC | Sue Rezin, Charles Meier | $3,500.00 |
| Illinois CPAs for Political Action | Sue Rezin, Charles Meier | $3,000.00 |
| Illinois Federation of Teachers COPE | Sue Rezin, Suzanne M. Ness | $3,000.00 |
| IMHA-PAC | Sue Rezin, Charles Meier | $2,500.00 |
| IMSCA PAC | Sue Rezin, Charles Meier | $2,500.00 |
| ADM | Sue Rezin, Charles Meier | $2,000.00 |
| UPSPAC | Sue Rezin, Charles Meier | $2,000.00 |
| PhRMA | Sue Rezin, Charles Meier, Suzanne M. Ness | $2,000.00 |
| CVS Pharmacy, Inc | Charles Meier, Suzanne M. Ness | $2,000.00 |
| Phillips 66 Company | Sue Rezin, Charles Meier | $1,750.00 |
| IBEW Illinois PAC | Sue Rezin, Suzanne M. Ness | $1,750.00 |
| Big I Illinois PAC | Sue Rezin, Charles Meier | $1,500.00 |
| Kasper & Nottage PC | Sue Rezin, Charles Meier | $1,500.00 |
| Peoples Energy PAC | Sue Rezin, Charles Meier, Suzanne M. Ness | $1,250.00 |
Top donors across these members
| Donor | Occupation | Employer | Receipts | Total |
|---|---|---|---|---|
| House Republican Organization | — | — | 20 | $115,388.50 |
| Liuna Chicago Laborers' District Council Political Action Committee | — | — | 2 | $75,800.00 |
| I.P.A.C.E. | — | — | 5 | $67,500.00 |
| The First National Bank of Ottawa | — | — | 20 | $65,324.89 |
| Busey Bank | — | — | 1 | $43,117.52 |
| Illinois Political Action Committee for Education | — | — | 1 | $40,000.00 |
| NextEra Energy Resources Development LLC | — | — | 2 | $29,833.00 |
| Illinois Farm Bureau ACTIVATOR | — | — | 13 | $20,143.05 |
| Marquis Energy LLC | — | — | 2 | $20,000.00 |
| D Construction | — | — | 3 | $18,500.00 |
| Chicago Land Operators Joint Labor Management PAC | — | — | 7 | $18,000.00 |
| Realtor PAC | — | — | 5 | $17,000.00 |
| Realtor Political Action Committee | — | — | 8 | $16,500.00 |
| Illinois Hospital Association PAC | — | — | 3 | $15,000.00 |
| Illinois Senate Republican Campaign Committee | — | — | 3 | $15,000.00 |
| Illinois Corn Growers Assn PIF | — | — | 2 | $14,000.00 |
| Ameren Illinois PAC | — | — | 4 | $11,500.00 |
| Manufacturers Political Action Committee | — | — | 4 | $10,000.00 |
| Kevin Hoffman | President | G&D Trucking Inc | 2 | $10,000.00 |
| Peggy Hoffman | Co-owner | G&D Trucking | 2 | $10,000.00 |
| Constellation Energy Generation LLC | — | — | 3 | $10,000.00 |
| Vistra Corp. | — | — | 3 | $8,500.00 |
| J&J Ventures Gaming LLC | — | — | 4 | $8,000.00 |
| Chicago Land Operators Joint Labor-Management PAC | — | — | 3 | $8,000.00 |
| Sports Betting Alliance | — | — | 2 | $7,500.00 |
Public Engagement
11 witness slips filed
4 proponents / 5 opponents
5 organizations
Anomaly Detected: single org files 64% of slips; near-unanimous position (>95% one side); high org concentration (HHI=0.44)
Witness slips
11 slips filed. Proponent / opponent / no position as filed with the committee.
| Name | Organization | Representing | Position | Hearing committee | Hearing date |
|---|---|---|---|---|---|
| Angela Raymer | CCSI Case Coordination LLC | Self | Proponent | Human Services | 2025-03-05 |
| David Schwartz | Self | Self | Proponent | Human Services | 2025-02-26 |
| Christine Chalkey | IL Home and Community Based Waiver Program | Parents of Live-in Caretakers in the IL HCBS Program | Proponent | Human Services | 2025-02-19 |
| David Schwartz | Self | Self | Proponent | Human Services | 2025-02-19 |
| Dennis Deany | Self | Self | Opponent | Human Services | 2025-03-12 |
| Dennis Deany | Self | Self | Opponent | Human Services | 2025-03-20 |
| Dennis Deany | Self | Self | Opponent | Human Services | 2025-03-19 |
| Dennis Deany | Self | Self | Opponent | Human Services | 2025-03-20 |
| Dennis Deany | Self | Self | Opponent | Human Services | 2025-03-19 |
| Luis Andrade | IARF | Community-based providers serving children and adults with intellectual-developmental disabilities and serious mental illnesses. | No Position On Merits | Human Services | 2025-03-19 |
| Patrick Hostert | Dept. of Healthcare & Family Services | IL Department of Healthcare & Family Services | No Position On Merits | Human Services | 2025-03-19 |
Roll-call votes
Total votes and outcome per event. Deciding vote = margin of 1; those voters on the winning side could have changed the outcome by flipping.
| Date | Chamber | Type | Description | Yea | Nay | Present | NV | Outcome | Margin | Deciding voters |
|---|---|---|---|---|---|---|---|---|---|---|
| H | Committee | Human Services | 9 | 1 | 0 | 2 | Passed | 8 | — | |
| H | Floor | Third Reading | 105 | 1 | 0 | 12 | Passed | 104 | — |
Action History
23 actions recorded. Last action: 2025-04-09 — Referred toAssignments. Each action's meaning and outcome signal are classified automatically.
2025-01-03
Introduction & Filing
Prefiled with Clerk byRep. Charles Meier Senate Rule 5-1(d); House Rule 37(d)
Bill submitted before the legislative session officially begins. No impact on outcome yet.
2025-01-09
Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-01-09
Committee Assignment
Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-02-04
Committee Assignment
Assigned toHuman Services Committee Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-02-18
Amendment Actions
House Committee Amendment No. 1 Filed with Clerk byRep. Charles Meier
[Amendment] Amendment sub-action.
2025-02-18
Amendment Actions
House Committee Amendment No. 1 Referred toRules Committee
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-02-25
Amendment Actions
House Committee Amendment No. 1 Rules Refers toHuman Services Committee
[Amendment] Amendment sub-action.
2025-03-05
Amendment Actions
House Committee Amendment No. 2 Filed with Clerk byRep. Charles Meier
[Amendment] Amendment sub-action.
2025-03-05
Amendment Actions
House Committee Amendment No. 2 Referred toRules Committee
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-03-11
Amendment Actions
House Committee Amendment No. 2 Rules Refers toHuman Services Committee
[Amendment] Amendment sub-action.
2025-03-19
Amendment Actions
House Committee Amendment No. 2 Adopted inHuman Services Committee; by Voice Vote
[Amendment] Amendment sub-action.
2025-03-19
Committee Action
Positive
Do Pass as Amended / Short DebateHuman Services Committee; 009-001-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-03-19
Amendment Actions
Mild −
House Committee Amendment No. 1 Tabled
[Amendment] Bill tabled — temporarily set aside. In IL, tabling is less final than in Congress; bills can be brought back (Rule 7-11). But it's a negative signal when the bill itself (not an amendment) is tabled.
2025-03-19
Floor Process
Positive
Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52
Bill placed on the Second Reading calendar. Positive — bill is queued for floor action.
2025-03-20
Co-Sponsorship
Mild +
Added Co-SponsorRep. Suzanne M. Ness Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-03-25
Floor Process
Positive
Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1)
Bill reaches the floor amendment stage on Short Debate calendar. Major milestone — bill has passed committee and is on the floor.
2025-03-25
Floor Process
Positive
Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-07
Floor Vote
Positive
Third Reading - Short Debate - Passed105-001-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50
Bill PASSED on Short Debate Third Reading. Bill cleared the chamber.
2025-04-08
Cross-Chamber
Positive
Arrive in Senate Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
House bill arrives in the Senate after passing the House.
2025-04-08
Procedural
Placed on Calendar Order of First Reading Senate Rule 4-4/7-4; House Rule 31/54
Bill queued for First Reading in the second chamber.
2025-04-09
Cross-Chamber
Positive
Chief Senate SponsorSen. Sue Rezin Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Senate sponsor assigned for a House bill.
2025-04-09
Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-04-09
Committee Assignment
Referred toAssignments Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-01-03 | House | Prefiled with Clerk byRep. Charles Meier Senate Rule 5-1(d); House Rule 37(d) | Introduction & Filing | — |
| 2025-01-09 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-01-09 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-02-04 | House | Assigned toHuman Services Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-02-18 | House | House Committee Amendment No. 1 Filed with Clerk byRep. Charles Meier | Amendment Actions | — |
| 2025-02-18 | House | House Committee Amendment No. 1 Referred toRules Committee | Amendment Actions | — |
| 2025-02-25 | House | House Committee Amendment No. 1 Rules Refers toHuman Services Committee | Amendment Actions | — |
| 2025-03-05 | House | House Committee Amendment No. 2 Filed with Clerk byRep. Charles Meier | Amendment Actions | — |
| 2025-03-05 | House | House Committee Amendment No. 2 Referred toRules Committee | Amendment Actions | — |
| 2025-03-11 | House | House Committee Amendment No. 2 Rules Refers toHuman Services Committee | Amendment Actions | — |
| 2025-03-19 | House | House Committee Amendment No. 2 Adopted inHuman Services Committee; by Voice Vote | Amendment Actions | — |
| 2025-03-19 | House | Do Pass as Amended / Short DebateHuman Services Committee; 009-001-000 Rule 3-11(a)(1), Rule 3-12(a) | Committee Action | Positive |
| 2025-03-19 | House | House Committee Amendment No. 1 Tabled | Amendment Actions | Mild − |
| 2025-03-19 | House | Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 | Floor Process | Positive |
| 2025-03-20 | House | Added Co-SponsorRep. Suzanne M. Ness Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-03-25 | House | Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1) | Floor Process | Positive |
| 2025-03-25 | House | Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8) | Floor Process | Positive |
| 2025-04-07 | House | Third Reading - Short Debate - Passed105-001-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50 | Floor Vote | Positive |
| 2025-04-08 | Senate | Arrive in Senate Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-08 | Senate | Placed on Calendar Order of First Reading Senate Rule 4-4/7-4; House Rule 31/54 | Procedural | — |
| 2025-04-09 | Senate | Chief Senate SponsorSen. Sue Rezin Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-09 | Senate | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-04-09 | Senate | Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |